nrnp 6540 adv practice care of frail elders – expe
nrnp 6540 adv practice care of frail elders
nrnp 6540 adv practice care of frail elders –
nrnp 6540 adv practice care of frail elder
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NRNP 6540 Adv Practice Care of Frail Elders – EXPE
NRNP 6540 Adv Practice Care of Frail Elders – EXPE
NRNP 6540 Adv Practice Care of Frail Elders – EXPE
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Assignment: Assessing, Diagnosing, and Treating
Musculoskeletal and Neurologic Disorders
NRNP 6540 Adv Practice Care of Frail Elders –
EXPERT FEEDBACK
, Focused SOAP Note Template
Name: T. T. Age: 69-year-old Sex: Male Race: Caucasian CC: Increased difficulty
with balance and slow walking movement.
HPI: The patient is a 69-year-old Caucasian male accompanied by his wife to the clinic due to
the patient’s difficulty with balance, and his walking is becoming slower. The wife reports the
patient has a history of a right-hand tremor for several years. Mr. Tony is a right-handed man
who says he has noticed that his Parkinson’s Disease symptoms are getting worse. It was seen
more during rest and got aggravated during movements. Recently, he reported the lower
extremities were also affected. The patient also gives a history of difficulty in walking in the
form of difficulty starting, and once he starts walking, he stoops forward with small and fast
steps. However, he freezes during turning and tends to fall forward and backward. The onset was
last week, and he has been getting worse despite faithfully taking his medications. He takes
Sinemet, and he self-adjusted the medicine, going from four times a day to six times a day, with
only satisfactory improvement. His tremor is unilateral, and he also has muscle rigidity. He said
he has been falling a lot lately and has increased difficulty getting out of a chair. He also reports
his gait is very unsteady, and he uses a rolling walker, but reports do not help. He has a past
medical history of Parkinson’s disease for ten years, HTN, CHF, and GERD. He denies any chest
pain, headache, dizziness, or palpitations. He denies any fever, chills, cough, nausea, vomiting,
or diarrhea. He denies any changes in bowel or bladder regimen. He denies any seizure, syncope,
or head trauma.
, Current Medications:
1. Sinemet 25/100 mg one tablet orally six times a day (Parkinson’s Disease)
2. Furosemide 40 mg orally daily (CHF)
3. Omeprazole 20 mg orally daily (GERD)
4. Quinapril 20 mg orally daily (HTN)
5. Tylenol 325 mg orally as needed for pain
6. Centrum silver one tablet daily
7. Ubiquinone one tablet orally daily
8. Melatonin 3 mg orally at bedtime (Sleep aid)
Allergies:
1. No known drug allergies
2. No known food allergies.
3. No latex or contrast allergy
4. No seasonal allergy
5. No environmental allergy
PMHx:
1. Parkinson’s disease - 10 years
2. Congestive heart failure (CHF)
3. Essential Hypertension (HTN)
4. GERD
Immunization:
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